Stidham Medical, LLC
Physiological Laboratory in Cullman, AL. Organization (NPI-2).
NPI number1679528186
StatusActive
Last updated in NPPESMar 27, 2015
Details
- NPI
- 1679528186
- Entity type
- Organization (NPI-2)
- Legal business name
- Stidham Medical, LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Mar 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | AL | Yes |
Other names
- Pinnacle Mobile Imaging, LLC (Doing Business As)
Practice location
1890 Al Highway 157 Ste 220Cullman, AL 35058-0689
Phone 256-739-1233 · Fax 256-734-5129
Mailing address
1890 Al Highway 157 Ste 220Cullman, AL 35058-0689
Phone 256-739-1233 · Fax 256-734-5129
Authorized official
Jeremy Stidham
President/Owner
2567391233
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